郊区三级医疗中心急诊科耳鼻喉科住院模式。

Pattern of Otorhinolaryngological Admissions via Emergency Unit in a Suburban Tertiary Center.

作者信息

Adedeji Taiwo O, Sogebi Olusola A, Tobih James E

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, LAUTECH Teaching Hospital, Osogbo, Osun state, Nigeria;

ENT Unit, Department of Surgery, College of Health Sciences, Olabisi Onabanjo University, Sagamu, Nigeria.

出版信息

Int J Biomed Sci. 2015 Sep;11(3):146-51.

PMID:26508908

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4614014/

Abstract

BACKGROUND

Patients with ORL lesions sometimes present to the general emergency room. This study reviews the common ENT admissions via emergency room in a sub-urban town in Nigeria.

METHODS

A retrospective study spanning five years from January 2009 to December 2013.

RESULTS

A total of 211 cases consisting of 131 (62.1%) males with male: female ratio 1.6: 1 and a mean age of 32.8 ± 22.4 years. About a quarter of the patients were children, the peak age was 21-40 years (in 37%). The common indications for emergency otorhinolaryngological admissions were Epistaxis (16.1%), Nasal/facial trauma (14.7%), pharyngo-esophageal foreign bodies (13.3%) and upper airway obstruction (8.1%). Majority 16 (57.1%) of the Pharyngo-esophageal FBs occurred in children. Most of the airway obstructions in children were due to juvenile recurrent respiratory papillomatosis while laryngeal cancer was the major cause among the adult. Sixty percent had surgical procedures, 86.7% had satisfactory outcome and mortalities were recorded in 1.4%.

CONCLUSION

Majority of causes for ORL admissions via emergency unit are of pharyngo-esophageal origin. There is apparent reversal of the otological origin trend in ENT admissions via A&E unit.

摘要

背景

耳鼻喉科（ORL）病变患者有时会前往综合急诊室就诊。本研究回顾了尼日利亚一个郊区城镇通过急诊室收治的常见耳鼻喉科病例。

方法

一项回顾性研究，时间跨度为2009年1月至2013年12月的五年。

结果

共有211例病例，其中男性131例（62.1%），男女比例为1.6:1，平均年龄为32.8±22.4岁。约四分之一的患者为儿童，发病高峰年龄为21 - 40岁（占37%）。耳鼻喉科急诊入院的常见指征为鼻出血（16.1%）、鼻/面部外伤（14.7%）、咽食管异物（13.3%）和上呼吸道梗阻（8.1%）。咽食管异物病例中多数16例（57.1%）发生在儿童。儿童的大多数气道梗阻是由于青少年复发性呼吸道乳头状瘤病，而喉癌是成人气道梗阻的主要原因。60%的患者接受了手术治疗，86.7%的患者预后良好，死亡率为1.4%。